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Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.
Feuerbacher RL, Funk KH, Spight DH, Diggs BS, Hunter JG. Arch Surg. 2012;147:1026-1030.

In this study involving surgical residents, the introduction of realistic interruptions and distractions into simulated surgical scenarios resulted in a significantly higher incidence of technical errors during the procedures.
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